Department of Epidemiology and Global Health, Umeå University, Umeå, Sweden.
Eur J Public Health. 2020 Aug 1;30(4):780-785. doi: 10.1093/eurpub/ckaa077.
Ensuring a good quality service and equal access according to need for all young people is a key objective of the Swedish health system. The aim of this study was to explore youths' perception of youth health centres' (YHCs') friendliness and to assess the differences in perception between immigrant and Swedish-Scandinavian youths.
All YHCs in the four northern counties in Sweden were invited (22 centres), and 20 agreed to participate. Overall, 1089 youths aged 16-25 years answered the youth-friendly health services-Sweden questionnaire between September 2016 and February 2017. Thirteen sub-domains of friendliness were identified and their scores were calculated. Multilevel analysis was used to examine the differences in perception between immigrant and Swedish-Scandinavian youths.
Our sample consisted of 971 Swedish-Scandinavian youths (89.2%) and 118 immigrants (10.8%). Generally, both groups perceived the services to be very friendly. All 13 sub-domains were rated more than three in a four-point scale except for fear of exposure and parental support of psychosocial services. However, immigrant youths perceived YHCs less friendly than their counterparts, particularly regarding the domains of equity, respect, quality and parental support.
Our study suggests that even though youths perceived YHCs as highly friendly, there is a space for improvement regarding access to health care. Our findings highlight the importance of an open and culturally sensitive attitude of the staff and the need to engage parents and community as a key to improve immigrant youths' accessibility to health care.
确保所有年轻人都能根据自身需求获得优质且公平的服务是瑞典卫生系统的主要目标之一。本研究旨在探讨年轻人对青年健康中心（YHC）友好程度的看法，并评估移民青年和瑞典-斯堪的纳维亚青年在这方面看法的差异。
邀请了瑞典北部四个郡的所有 YHC（22 个中心）参与，其中 20 个表示同意。2016 年 9 月至 2017 年 2 月期间，共有 1089 名 16-25 岁的年轻人回答了青年友好型卫生服务-瑞典问卷。确定了 13 个友好程度的子领域，并计算了它们的分数。采用多水平分析来检验移民青年和瑞典-斯堪的纳维亚青年在看法上的差异。
我们的样本包括 971 名瑞典-斯堪的纳维亚青年（89.2%）和 118 名移民（10.8%）。总体而言，两个群体都认为这些服务非常友好。除了对暴露的恐惧和对心理社会服务的父母支持外，所有 13 个子领域的评分都在四分制的三分以上。然而，移民青年认为 YHC 不如他们的同龄人友好，特别是在公平、尊重、质量和父母支持方面。
我们的研究表明，尽管年轻人认为 YHC 非常友好，但在获得医疗保健方面仍有改进的空间。我们的研究结果强调了工作人员开放和文化敏感态度的重要性，以及需要让父母和社区参与进来，这是改善移民青年获得医疗保健的关键。
